| NPI | 1588060222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25075) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA PTA48572) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2017-04-26 |